Active NPI
Charles Hugh Frederick III, PHARM.D.
- Pharmacist
- Wichita, KS
National Provider Identifier
1164799300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14958
- Practice address
- 2727 N Maize Rd
Wichita, KS 67205-7311 - Phone
- (316) 729-2798
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14958 | KS | Primary |
| Pharmacist | 183500000X | 43356 | TX |
Addresses
Primary practice location
2727 N Maize Rd
Wichita, KS 67205-7311
Mailing address
14108 W Taylor Cir
Wichita, KS 67235-8089
Phone (806) 681-9777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14958 | KS | MD | Pharmacist |
| 43356 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1164799300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14108 W TAYLOR CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672358089",
"telephone_number": "806-681-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 N MAIZE RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672057311",
"telephone_number": "316-729-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "CHARLES",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14958",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "43356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.